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<h2>中华人民共和国企业清算所得税申报表</h2>
<p>清算期间：<input onclick="new Calendar().show(this);" placeholder="2012-12-12"type="text" id="qsqjz" name="qyqssde.qsqjz"/>至<input onclick="new Calendar().show(this);" placeholder="2012-12-12"type="text" id="qsqj" name="qyqssde.qsqj"/></p>
<p class="p_tb_10">纳税人名称：<input placeholder="某某公司" type="text" style="width:70%;height:100%" id="nsrmc" name="qyqssde.nsrmc"/></p>
<div class="c">
<span class="fl p_t_5">纳税人识别号：</span>
<table style="float: left; width: 500px !important; height:16px; line-height:14px;">
      <tr id="nsrsbhTr" size=20>
        <td id="nsrsbhTd1" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd2" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd3" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd4" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd5" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd6" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd7" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd8" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd9" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd10" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd11" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd12" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd13" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd14" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd15" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd16" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd17" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd18" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd19" style="height:20px;width:20px; line-height:14px;" align="center"></td>
        <td id="nsrsbhTd20" style="height:20px;width:20px; line-height:14px;" align="center"></td>
      </tr>
  </table><input type="hidden" style="width:100%;height:100%" id="nsrsbh" name="qyqssde.nsrsbh"/>
</div>
<br />

<table border="1" cellspacing="0" cellpadding="0" width="850">
  <tr>
    <td width="111"><p align="center"><strong>类别 </strong></p></td>
    <td width="63"><p align="center"><strong>行次 </strong></p></td>
    <td width="267" colspan="2"><p align="center"><strong>项目 </strong></p></td>
    <td width="128"><p align="center"><strong>金额 </strong></p></td>
  </tr>
  <tr>
    <td width="111" rowspan="11" valign="top"><p>&nbsp;</p>
      <p>应纳税所得额计算 </p></td>
    <td width="63" valign="top"><p align="center">1</p></td>
    <td width="267" colspan="2" valign="top"><p>资产处置损益（填附表一） </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="10000" type="text" style="width:100%;height:100%" id="zcczsy" name="qyqssde.zcczsy"/></p></td>
  </tr>
  <tr>
    <td width="63" valign="top"><p align="center">2</p></td>
    <td width="267" colspan="2" valign="top"><p>负债清偿损益（填附表二） </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="10000" type="text" style="width:100%;height:100%" id="fzqcsy" name="qyqssde.fzqcsy"/></p></td>
  </tr>
  <tr>
    <td width="63" valign="top"><p align="center">3</p></td>
    <td width="267" colspan="2" valign="top"><p>清算费用 </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="1000" type="text" style="width:100%;height:100%" id="qsfy" name="qyqssde.qsfy"/></p></td>
  </tr>
  <tr>
    <td width="63" valign="top"><p align="center">4</p></td>
    <td width="267" colspan="2" valign="top"><p>清算税金及附加 </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="1000" type="text" style="width:100%;height:100%" id="qssjjfj" name="qyqssde.qssjjfj"/></p></td>
  </tr>
  <tr>
    <td width="63" valign="top"><p align="center">5</p></td>
    <td width="267" colspan="2" valign="top"><p>其他所得或支出 </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="500" type="text" style="width:100%;height:100%" id="qtsdhzc" name="qyqssde.qtsdhzc"/></p></td>
  </tr>
  <tr>
    <td width="63" valign="top"><p align="center">6</p></td>
    <td width="267" colspan="2" valign="top"><p>清算所得（1+2-3-4+5） </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="18500" type="text" style="width:100%;height:100%" id="qssd" name="qyqssde.qssd"/></p></td>
  </tr>
  <tr>
    <td width="63" valign="top"><p align="center">7</p></td>
    <td width="267" colspan="2" valign="top"><p>免税收入 </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="1000" type="text" style="width:100%;height:100%" id="mssr" name="qyqssde.mssr"/></p></td>
  </tr>
  <tr>
    <td width="63" valign="top"><p align="center">8</p></td>
    <td width="267" colspan="2" valign="top"><p>不征税收入 </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="1000" type="text" style="width:100%;height:100%" id="bzssr" name="qyqssde.bzssr"/></p></td>
  </tr>
  <tr>
    <td width="63" valign="top"><p align="center">9</p></td>
    <td width="267" colspan="2" valign="top"><p>其他免税所得 </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="1000" type="text" style="width:100%;height:100%" id="qtmssd" name="qyqssde.qtmssd"/></p></td>
  </tr>
  <tr>
    <td width="63" valign="top"><p align="center">10</p></td>
    <td width="267" colspan="2" valign="top"><p>弥补以前年度亏损 </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="1000" type="text" style="width:100%;height:100%" id="mbyqndks" name="qyqssde.mbyqndks"/></p></td>
  </tr>
  <tr>
    <td width="63" valign="top"><p align="center">11</p></td>
    <td width="267" colspan="2" valign="top"><p>应纳税所得额（6-7-8-9-10） </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="14500" type="text" style="width:100%;height:100%" id="ynssde6" name="qyqssde.ynssde6"/></p></td>
  </tr>
  <tr>
    <td width="111" rowspan="2" valign="top"><p>应纳所得税额计算 </p></td>
    <td width="63" valign="top"><p align="center">12</p></td>
    <td width="267" colspan="2" valign="top"><p>税率（25%） </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="25%" type="text" style="width:100%;height:100%" id="sl" name="qyqssde.sl"/></p></td>
  </tr>
  <tr>
    <td width="63" valign="top"><p align="center">13</p></td>
    <td width="267" colspan="2" valign="top"><p>应纳所得税额（11×12） </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="3625" type="text" style="width:100%;height:100%" id="ynssde11" name="qyqssde.ynssde11"/></p></td>
  </tr>
  <tr>
    <td width="111" rowspan="5" valign="top"><p>&nbsp;</p>
      <p>应补（退）所得税额计算 </p></td>
    <td width="63" valign="top"><p align="center">14</p></td>
    <td width="267" colspan="2" valign="top"><p>减（免）企业所得税额 </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="100" type="text" style="width:100%;height:100%" id="jmqysdse" name="qyqssde.jmqysdse"/></p></td>
  </tr>
  <tr>
    <td width="63" valign="top"><p align="center">15</p></td>
    <td width="267" colspan="2" valign="top"><p>境外应补所得税额 </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="100" type="text" style="width:100%;height:100%" id="jwybsdse" name="qyqssde.jwybsdse"/></p></td>
  </tr>
  <tr>
    <td width="63" valign="top"><p align="center">16</p></td>
    <td width="267" colspan="2" valign="top"><p>境内外实际应纳所得税额（13-14+15） </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="3625" type="text" style="width:100%;height:100%" id="jnwsjynsdse" name="qyqssde.jnwsjynsdse"/></p></td>
  </tr>
  <tr>
    <td width="63" valign="top"><p align="center">17</p></td>
    <td width="267" colspan="2" valign="top"><p>以前纳税年度应补（退）所得税额 </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="0" type="text" style="width:100%;height:100%" id="yqnsndybtsdse" name="qyqssde.yqnsndybtsdse"/></p></td>
  </tr>
  <tr>
    <td width="63" valign="top"><p align="center">18</p></td>
    <td width="267" colspan="2" valign="top"><p>实际应补（退）所得税额（16+17） </p></td>
    <td width="128" valign="top"><p align="left" class="p_wrap"><input placeholder="3625" type="text" style="width:100%;height:100%" id="sjybtsdse" name="qyqssde.sjybtsdse"/></p></td>
  </tr>
  <tr>
    <td width="223" colspan="3" valign="top"><p>&nbsp;</p>
      <p>纳税人盖章： </p>
      <p>&nbsp;</p>
      <p>清算组盖章： </p>
      <p>&nbsp;</p>
      <p>经办人签字：<input placeholder="某某某" type="text" style="width:30%;height:100%" id="jbrqz" name="qyqssde.jbrqz"/> </p>
      <p>&nbsp;</p>
      <p>申报日期：&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 年 &nbsp;&nbsp;&nbsp;&nbsp;月 &nbsp;&nbsp;&nbsp;&nbsp;日 
      <input type="hidden" style="width:100%;height:100%" id="sbrq" name="qyqssde.sbrq"/></p></td>
    <td width="217" valign="top"><p>&nbsp;</p>
      <p>代理申报中介机构盖章： </p>
      <p>&nbsp;</p>
      <p>经办人签字及执业证件号码： </p>
      <p><input placeholder="某某某XXXXXXXXX" type="text" style="width:100%;height:100%" id="sbrq" name="qyqssde.sbrq"/></p><br/><br/>
      <p align="left">代理申报日期： &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 年 &nbsp;&nbsp;&nbsp;&nbsp;月 &nbsp;&nbsp;&nbsp;&nbsp;日 
      <input type="hidden" style="width:100%;height:100%" id="dlsbrq" name="qyqssde.dlsbrq"/> </p></td>
    <td width="128" valign="top"><p>&nbsp;</p>
      <p>主管税务机关 <br />
        受理专用章： </p>
      <p>&nbsp;</p>
      <p>受理人签字：<input type="hidden" style="width:100%;height:100%" id="slrqz" name="qyqssde.slrqz"/> </p>
      <p>&nbsp;</p>
      <p>受理日期： <br />
       &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; 年 &nbsp;&nbsp;&nbsp;&nbsp;月 &nbsp;&nbsp;&nbsp;&nbsp;日 
       <input type="hidden" style="width:100%;height:100%" id="slrq" name="qyqssde.slrq"/></p></td>
  </tr>
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